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PR0231906—420 W Kettleman Ln, Lodi Inspection Checklist January 18, 2023 SAN JOAQUIN Environmental Health Department ]UtaiV Underground Storage Tank Program Inspection Report Date. Facility Name: Facility Address:: ,ctrl. iS 2c:Z� 41, Servs N3 : , T' File Review a V ❑R ❑COS 121 HSC 25299(a)(8), False statements,representation,or certification made on an application,record,.or other document 25299(b)(7) a V ❑R COS 122 CCR 2712(f) Failure to implement corrections and submit written response within 30 days of receiving the report On Site Records v o R o COS determine whether the UST is in compliance 201 HSC 25293 Failure to maintain UST records to enable the UPA to oV ❑R ,COS 202 CCR 2712(i) Failure to retain a paper or electronic copy of the permit to operate at the facility ❑V a R u COS T 203 CCR 2712(b)(1-2) Failure to maintain monitoring records for 36 months and maintenance records for 50 months ¢V ❑R ❑COS es on site,for the life of the UST 204 CCR 2712(b)(6) Failure to maintain records of repairs,Ening,and upgrad ❑V a R ❑COS / 205 CCR 2712(1) Failure to submit and have current UST Monitoring Plan readily accessible at the facility ❑V ❑R ❑COS 206 CCR 2712(i),2634(e) Failure to submit and have a current UST Response Plan readily available on site VAj ❑R 0 COS / d operator inspection reports and all attachments on site for 36 months 0 V o R ❑COS 207 CCR 2716(f) Failure to maintain designate 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements a V a R ❑COS 209 CCR 2715(c)(3), Failure to maintain a copy of the"Facility Employee Training Certificate"on-site r�V o ❑COS 2715(c)(4) to resent al training,train every 12 months,and have a trained employee Y p V R 6 COS 210 CCR 2715(c) Failure to provide initi ram approved by the UPA,at an unstaffed facility 211 CCR 2715(c)(2) Failure to have or implement a training program o V ❑R ❑COS 212 CCR 2651;HSC 25294 Failure to record any unauthorized release from primary containment c,rd R ❑COS and submit report of reportable unauthorized release or record release 0 V c R a COS 213 CCR 2650(e),2652 Failure to notify to comply with UST operating permit conditions 214 CCR 2712 Failure [3V ❑R El COS 215 CCR 2715 Designated operator,service tech,or installer did not possess current certifications o V ❑R ❑COS 216 HSC 25281.5(b)(2) Failure to meet exclusion requirements for unburied fuel piping at a marina ,V ❑R ❑COS exemption requirements for emergency generator unburied fuel piping 217 HSC 25281.5(b)(3) Failure to meet UST System Observations ❑COS 301 HSC 25292.1(a) Failure to operate UST system to prevent unauthorized releases including leaks,spills and overfills ❑V ❑R 302 CCR 2630(d),2641(a) Leak detection equipment not installedlmainlainedllocated to detect leaks at earliest opportunity ❑V aR ❑COS I e.failure to remove test boots) ❑V a R ❑COS 303 CCR 2630(d),2641(a) Failure to maintain piping to allow liquid to flow into sump(. 304 CCR 2631(a);HSC Failure to construct,operate,and maintain primary containment as product-tight ❑V a aCOS 25290.1(c) OV u R o COS 305 HSC 25290.1,25290.2, Failed to maintain secondary containment(e.g.fai4ure of secondary containment testing) 25291 ❑R ❑COS 306 HSC 25291(e) Failure to remove,analyze,and properly dispose of water in secondary containment(pre-Jul 2003) nV 0 COS 307 HSC 25290.1(c3), Failure to keep water out of the secondary containment system(post-Jul 2003) n 25290.2(c3) a nR COS 306 306 CCR 2632(c),2634(d), Failure of the leak detection equipment to have an audible and visual alarm 2636(f) ❑C05 ❑V ❑R 309 CCI?2666(b)(2),2636(f) Failure to have continuous monitoring that activates audible visual alarm or stops Flow at dispenser (1) 310 CCR 2636(f)(4) Failure to meet monitoring requirements in lieu of being tightness tested every 12 months ❑V n R ❑COS 391 HSC 2636(a)(1), Monitoring system incapable of detecting leak into secondary containment(pre-Jul 2003) ❑V ra R n COS 25291(b) Page 2 of 4 Underground Storage Tank Program 1868 E. Hazelton Avenue I Stockton,California 952051 T 209 468-34201 F 209 464-0138 j www.Sjgov.orgiEHD